Organization
THE WELLNESS INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA RANDOLPH LCSW, CSAC (CO-OWNER)
(804) 241-2324
Entity
Organization
Contact information
Practice address
2120 STAPLES MILL RD STE 211, RICHMOND, VA 23230-2917
(804) 241-2324
Mailing address
806 N 30TH ST, RICHMOND, VA 23223-6641
(804) 241-2324
(804) 293-3802
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
01/21/2025
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